Professional Membership Application/Renewal 2018

CGN welcomes professionals in all areas, with a passion for or experience in working with the gifted, to submit an application. Our goal is to create a central place to find gifted resources available throughout California. Membership in CGN is intended to provide you with opportunities to network and share your talents and skills with other professionals, in addition to helping you connect with clients who could benefit from the services you provide.

Check box to indicate revisions to current information posted and complete only those sections.

Name as should appear on website listing *

(e.g. Jane Doe, Ph. D. or Dr. Jane Doe or Jane Doe, M.A., MFT)

Your title/position

Organization Name

Do you want organization name listed?

Yes

No

Contact Email *

List on website?

Yes

No

Contact telephone

List on website?

Yes

No

Website URL

List on website?

Yes

No

Do you want to be included as an available speaker?

Yes

No

If yes, list any special topics

Select any professional heading(s) that apply

Assessments & Testing

Counseling/Psychotherapy

Educational Therapy

Gifted Advocacy

Occupational Therapy

Physical Therapy

Psychiatry

Special Education Attorney

Speech Therapy

Social Skills Training

Vision Therapy

Tutoring

Other

If you selected "Other", please indicate here the professional heading(s) that apply

Please provide us with a brief biography of less than 100 words to be listed on the website: *

Please tell us a little about your experience and interest in working with gifted individuals

Upload a logo

Upload a headshot

Network Membership The California Gifted Network provides a forum to bring together gifted individuals and their families with professionals and organizations who endeavor to meet the social, emotional, educational, and physical needs of gifted and twice-exceptional individuals in California.

Membership in CGN is intended to provide you with opportunities to network and share your talents and skills with other professionals, as well as help you connect with clients who could benefit from the services you provide. CGN does not guarantee that membership will generate increased client contact for your business. Membership in CGN does not convey any rights or privileges to the member.

Annual Membership Fees are determined by the costs of website hosting and maintenance, administrative costs, and state and federal taxes and business fees.

Membership Type *

Legal Disclaimer:

CGN provides a forum for exchange of information between professionals, organizations and individuals. We reserve the right to refuse or terminate membership.